Individual
MRS. KIM ELIZABETH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7076 N 1700TH AVE, OSCO, IL 61274-9557
(309) 945-5453
Mailing address
7076 N 1700TH AVE, OSCO, IL 61274-9557
(309) 945-5453
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-005577
IL
Other
Enumeration date
06/25/2005
Last updated
04/28/2010
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